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Fees to be Char ed YES NO + � �
<br /> ;�..�r�n�t;`..,,� r- _ -,�;s:�' ' �.
<br /> �' Y'�, r.
<br /> , . . . .,. , ,� .,_ ..�;
<br /> Plan Review v
<br /> ,�S�ate''�vrc�arge ,, $ �'"
<br /> _ .. ,.. „� � ri _ , ; . , :. � .
<br /> investigation Fee
<br /> S�►�:���rrrbe��f��►C�3nits ` �`�, �; � a `, �:,, �
<br /> .r_ .. �
<br /> ._ . , .. _ _»._ ,,. _ .. , _ ,. :;,. . „ ,., ,:
<br /> Sewer Connection
<br /> a?'f7�,����.'��'� r� _ n.i .si�„ ..-'� �.,� .r 1 -�fs
<br /> �ri�l0[� w' r. �i.�r, iax,'� ,,:� �,''w�s. .�:'s
<br /> Park Fee
<br /> `��$1��i�S��G�IDi��.�°r���?� - y i�x �� ,.,� .��` �i'" ;;.,��s ;�TS,.�' r ��. ��.t�+;
<br /> :,,.,� >.� �. .:, _ . . . .,�,. , r ._ , . ., ��� ; �,�,
<br /> Other(specify)
<br /> �4s��B;�9S��e�?'.�J..'� � + � ,r�'�,�','`�i r'� a, `�t,r : s h,s� � "�`"r ,�`
<br /> �..,e�w., a�_ � .uk�:.w i �a�.t..€.;� +�.'z,L "� �,.'.t�'(u..�.:{� .r,s p, r,�.."'rt�.,3i�,� Y�;F�.4
<br /> Calculated By:
<br /> S uare Foota e $ er S uare Foota e
<br /> Basement X = $
<br /> 1St Floor X = �
<br /> 2nd FIOo(' X = �
<br /> Garage X = $
<br /> Estimated Construction Value: $ i5,ddo `�
<br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits
<br /> 0 Site „�Plumbing 0 Grading/Filling � Well
<br /> � Hardcover Removal E�Mechanical O Fire lectrical
<br /> � Footing 0 Septic � Water Connection
<br /> � Poured Wall ❑ Fireplace l7 Sewer Connection
<br /> � Foundation Survey 0 Masonry � Lawn Irrigation
<br /> � Radon Rock Bed � Mfg.
<br /> B'Framing � Other(specify)
<br /> �nsulation
<br /> � As-Built Survey
<br /> �' Final
<br /> 0 Other(specify)
<br /> REMARKS (in-houseJ:
<br /> Other Review: Reviewed by: Date Approved:
<br /> Access:Existing: 0 YES � NO New: 0 YES O NO
<br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
<br /> Updated: 09/11/2009
<br /> z:\forms�plan review checklist.docx
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